Provider Demographics
NPI:1952508947
Name:PURVES, J TODD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:TODD
Last Name:PURVES
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:96 JONATHAN LUCAS ST
Mailing Address - Street 2:CSB ROOM 644
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-6200
Mailing Address - Country:US
Mailing Address - Phone:843-792-7687
Mailing Address - Fax:843-792-8523
Practice Address - Street 1:96 JONATHAN LUCAS ST
Practice Address - Street 2:CSB ROOM 644
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-6200
Practice Address - Country:US
Practice Address - Phone:843-792-7687
Practice Address - Fax:843-792-8523
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2015-04-06
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Provider Licenses
StateLicense IDTaxonomies
MDT15462088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology